<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<%@ page language="java" contentType="text/html; charset=UTF-8"
	pageEncoding="UTF-8"%>
<%@ taglib prefix="s" uri="/struts-tags"%>

<html>
  <head>    
    <title>添加病人资料</title>
	<link rel="stylesheet" type="text/css" href="/healthDoc/css/myStyle.css">
  </head>
  
  <body>
	<jsp:include page="/common/head.jsp"></jsp:include>
	<jsp:include page="/common/navgate.jsp"></jsp:include>
	<div id="docContent" style="margin:20px 50px 0px 200px; border: dashed 1px  #777">
		<h5>病人基本资料：</h5>
		<form action="PatientAdd" method="post">
		<div style="height:250px">
			<table class="patientInfo">
				<tr>
					<td width="65px" align="right"><font size="2px">姓名*:</font></td>
					<td width="40px">
						<input class="txt" type="text" size="15" name="patientName"/> 
					</td>
					<td width="50px" align="right"><font size="2px">年龄*:</font></td>
					<td width="80px">
						<input class="txt" type="text" size ="2" name="patientAge" /><font size="2px">岁</font> 
					</td>
					<td width="50px" align="right"><font size="2px">性别*:</font></td>
					<td width="100px">
						<s:radio list='#{1:"男", 0:"女"}' name="patientSex" theme="simple"/>
					</td>
					<td width="85x" align="right"><font size="2px">*健康档案号:</font></td>
					<td width="45px">
						<input class="txt" type="text" size ="10" 
							name="patientDoc" value="${patient.patientDoc}" />
					</td>
				</tr>
				<tr>
					<td align="right"><font size="2px">家庭地址:</font></td>
					<td colspan="3"><input class="txt" type="text" size="40" name="patientAdd"/></td>
					<td align="right"><font size="2px">邮编:</font></td>
					<td><input class="txt" type="text" size ="10" name="patientZip" /></td>
					<td align="right" width="55"><font size="2px">电话:</font></td>
					<td><input class="txt" type="text" size="10" name="patientTel" /></td>
				</tr>
				<tr>
					<td align="right"><font size="2px">工作单位:</font></td>
					<td colspan="5"><input class="txt" type="text" size="40" name="patientOffice"/></td>
				</tr>
				<tr>
					<td align="right"><font size="2px">身份证*:</font></td>
					<td colspan="5"><input class="txt" type="text" size="40" name="personId"/></td>
				</tr>
				<tr></tr>
				<tr>
					<td colspan="5"><font size="2px" color="red">*为必填选项</font></td>
				</tr>
			</table>
			
		</div>
		<div align="center">
			<input type="button" value="保存当前">
			<input type="submit" value="保存并填写下一步">
		</div>
		</form>
	</div>
	
  </body>
</html>
